Vietnamese Version of the Geriatric Depression Scale (30 Items): Translation, Cross-Cultural Adaptation, and Validation (original) (raw)

Depression among ethnic minority elderly in the Central Highlands, Vietnam

Health Psychology Open, 2020

This cross-sectional study is to examine the prevalence of depression and associated factors among 110 ethnic minority elderly in Kon Tum city, Vietnam. Depression was assessed using 30-items Geriatric Depression Scale. Multivariate linear regression analysis was employed to identify factors associated with depression. The prevalence of depression among participants was 25.5%. All were classified as mild depression level. Depression was significantly associated with age, gender, educational level, chronic diseases, stressful life events in the past 12 months, and family history of depression. These risk factors can help formulate effective public health programs to improve mental health among ethnic minority elderly.

Depression, activities of daily living, and quality of life of community-dwelling elderly in three Asian countries: Indonesia, Vietnam, and Japan

Archives of Gerontology and Geriatrics, 2005

Health is vital for sustainable development, and obviously, there is no health without mental health. The purpose of this study was to examine the prevalence of screening-based depression and the association of depression with activities of daily living (ADL) and quality of life (QOL) of community-dwelling elderly in the developing and developed countries. A total of 2529 community-dwelling elderly subjects aged 60 years or older living in five rural Asian towns (Myanmar 213, Indonesia: 411, Japan: 1905) participated in this cross-sectional study. Depressive symptoms were assessed using a 15-item geriatric depression scale (GDS-15). ADL, higher daily activities, and medical and social history were assessed by interviews or self-report questionnaires. For the assessment of subjective QOL, a 100 mm visual analogue scale was used. Using a cut-point of 5/6 for the GDS-15, 764 participants (30.2%) appeared to have depression (Myanmar 22.2% Indonesia: 33.8%, Japan: 30.3%). Subjects with depression had significantly lower scores for both ADL and QOL than those without depression in all the three countries. In all the three countries, 22.2-33.8% of community-dwelling elderly subjects had screening-based depression, which was commonly associated with both lower quantitative ADL and lower QOL.

Factors Related to Depression Among the Elderly: A Case Study in Lampang Province, Thailand

IJMRAP, 2022

The purposes of this study were 1) to assess the depressive symptoms among the elderly in Lampang province, Thailand. 2) to examine the factors associated with depression. This study was a cross-sectional study conducted included 87 elderly aged greater than or equal to 60 years. Study instruments included the Suan Prung stress test-20 (SPST-20), the generalized anxiety disorder questionnaire (GAD-7), the patient health questionnaire-9 (PHQ-9), and the Pittsburgh sleep quality index (PSQI). Data collection was by face-to-face interviews. Descriptive statistics and Spearman's correlation coefficient were used to determine the association between variables, and P-value < 0.05 was considered statistically significant. The mean (standard deviation) for depressive symptoms was 3.79 ± 2.61. Psychological factors are significantly associated with depressive symptoms all variables, including anxiety, stress, and sleep quality. This emphasized the need for more mental health care and care services for the elderly.

Differential item functioning of the Geriatric Depression Scale in an Asian population

Journal of Affective Disorders, 2008

Background: The Geriatric Depression Scale (GDS) is widely used for screening and assessment of major depressive disorder (MDD). Screening scales are often culture-specific and should be evaluated for item response bias (synonymously differential item functioning, DIF) before use in clinical practice and research in a different population. In this study, we examined DIF associated with age, gender, ethnicity and chronic illness in a heterogeneous Asian population in Singapore. Methods: The GDS-15 and Structured Clinical Interview for DSM-IV diagnosis of MDD were independently administered by interviewers on 4253 non-institutionalized community living elderly subjects aged 60 years and above who were users of social service agencies. Multiple Indicator Multiple Cause latent variable modelling was used to identify DIF. Results: We found evidence of significant DIF associated with age, gender, ethnicity and chronic illness for 8 items: dropped many activities and interests, afraid something bad is going to happen, prefer staying home to going out, more problems with memory than most, think it is (not) wonderful to be alive, feel pretty worthless, feel (not) full of energy, feel that situation is hopeless. Limitations: The smaller number of minority Indian and Malay subjects and the self-report of chronic medical illnesses. Conclusions: In a heterogeneous mix of respondents in Singapore, eight items of the GDS-15 showed DIF for age, gender, ethnicity and chronic illness. The awareness and identification of DIF in the GDS-15 provides a rational basis for its use in diverse population groups and guiding the derivation of abbreviated scales.

Translation and Adaptation of the Geriatric Depression Scale among Bangladeshi Population

2016

Introduction: Significant change in demography with increased proportion of elderly people has brought in the problem of physical, psychological and social issues of the older people.1 Depression is widespread among elderly persons, affecting one in six patients treated in general medical practice and an even higher percentage of those in hospitals and nursing homes.2 In an epidemiological survey on mental illness in Bangladesh, the prevalence of psychiatric disorder is 16.1% and depression is 6.4%.3 According to the Bangladesh census , the number of the elderly was about 6.1 million in 2000 but it is predicted to be doubled by the year 2025.The average life expectancy in Bangladesh was 56.1 in 1991 where as it will reach 70 in2025.4 Prevalence rates of depression in large samples of community-resident elderly of 13-18% had been found.5 This population comprises only 11.9% of the population but accounts for nearly one fourth of all suicides.6 Depression is the most prevalent psychia...

Validation and factor structure of the Thai version of the EURO-D scale for depression among older psychiatric patients

Aging & Mental Health, 2009

Objectives: To assess the concurrent and the construct validity of the Euro-D in older Thai persons. Method: Eight local psychiatrists used the major depressive episode section of the Mini International Neuropsychiatric Interview to interview 150 consecutive psychiatric clinic attendees. A trained interviewer administered the Euro-D. We used receiver operating characteristic (ROC) analysis to assess the overall discriminability of the Euro-D scale and principal components factor analysis to assess its construct validity. Results: The area under the ROC curve for the Euro-D with respect to major depressive episode was 0.78 [95% confidence interval (CI) 0.70–0.90] indicating moderately good discriminability. At a cut-point of 5/6 the sensitivity for major depressive episodes is 84.3%, specificity 58.6%, and kappa 0.37 (95% CI 0.22–0.52) indicating fair concordance. However, at the 3/4 cut-point recommended from European studies there is high sensitivity (94%) but poor specificity (34%). The principal components analysis suggested four factors. The first two factors conformed to affective suffering (depression, suicidality and tearfulness) and motivation (interest, concentration and enjoyment). Sleep and appetite constituted a separate factor, whereas pessimism loaded on its own factor. Conclusion: Among Thai psychiatric clinic attendees Euro-D is moderately valid for major depression. A much higher cut-point may be required than that which is usually advocated. The Thai version also shares two common factors as reported from most of previous studies.

Selection of depression measures for use among Vietnamese populations in primary care settings: a scoping review

International Journal of Mental Health Systems, 2015

Depression is an important and growing contributor to the burden of disease around the world and evidence suggests the experience of depression varies cross-culturally. Efforts to improve the integration of services for depression in primary care are increasing globally, meaning that culturally valid measures that are acceptable for use in primary care settings are needed. We conducted a scoping review of 27 studies that validated or used 10 measures of depression in Vietnamese populations. We reviewed the validity of the instruments as reported in the studies and qualitatively assessed cultural validity and acceptability for use in primary care. We found much variation in the methods used to validate the measures, with an emphasis on criterion validity and reliability. Enhanced evaluation of content and construct validity is needed to ensure validity within diverse cultural contexts such as Vietnam. For effective use in primary care, measures must be further evaluated for their brevity and ease of use. To identify appropriate measures for use in primary care in diverse populations, assessment must balance standard validity testing with enhanced testing for appropriateness in terms of culture, language, and gender and for acceptability for use in primary care.